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STUDENT SIGN UP FORM

Players Name:

Age at May 1, 2021:

# of years playing hockey:

Last level played:

Parents Name:

Phone #:

Email add #1:

Email add #2:

Number of years you have trained with Conroy Hockey?

Minor Hockey Org you played for last year?

Program(s) you are interested in:

What would you like to see them improve at:

#	2021 Programs
YES	Spr/Summ Group 1	April to Aug	$ 660.00 +GST limit 27 kids
YES	Spr/Summ Group 2	April to Aug	$ 660.00 +GST limit 27 kids
YES	Spr/Summ Group 3	April to Aug	$ 660.00 +GST limit 27 kids
YES	2020 Checking Skills 1	July	$ 210.00 +GST limit 16 kids
YES	2020 Checking Skills 2	August	$ 210.00 +GST limit 16 kids
YES	2020 Defense Level 1	July	$ 210.00 +GST limit 16 kids
YES	2020 Forward Level 1	July	$ 210.00 +GST limit 16 kids
YES	2020 Defense Level 2	Aug	$ 210.00 +GST limit 16 kids
YES	Off-ice Training	Jun, July & Aug	$ 250.00 +GST limit 20 kids
YES	Carstairs Xmas Week	Dec 2020	Variable (see schedule)
YES	Chestermere Xmas Week	Dec 2020	Variable (see schedule)
YES	Carstairs Week	August 2021	Variable (see schedule)
YES	Ness Week	August	Variable (see schedule)
YES	Private Tutoring	by design and quote.
YES	Team Training	by design and quote.

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Family Discounts: I like to reduce costs for families; the discount applies to all charges.

✔ 2 members of immediate family 5.0 % (for both kids)
✔ 3 members or more 7.5 % (for all 3 kids)

For more information please e-mail me coach@conroyhockey.ca or call my cell 587-888-1097